Africa Centre for HIV/AIDS Management

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Ethical perspectives regarding human immunodeficiency virus (HIV) positive children in childcare centres
(Stellenbosch : Stellenbosch University, 2020-12) Adams, Sadiya Fatima; Hall, Susan; Stellenbosch University. Faculty of Economic and Management Sciences. African Centre for HIV/AIDS Management.
ENGLISH SUMMARY : The human immunodeficiency virus (HIV) pandemic gives rise to a vast array of moral and ethical issues. The enrolment of HIV positive children in childcare facilities, in particular, presents a unique set of ethical issues and concerns, including dilemmas with regard to status disclosure, and ethical guidance is required in this regard. The main objective of this study is to argue in favour of a controlled means of disclosure in childcare institutions. However, status disclosure and stigmatisation present a complex relationship that needs to be examined in detail. Against the background of this relationship, this dissertation will attempt to provide a principlist analysis of various ethical considerations with regard to status disclosure, taking into account the perspectives of the guardians of the HIV positive child, the childcare director of the facility, the other children attending the facility, and the HIV positive child him/herself. Finally, this dissertation will attempt to provide a framework for status disclosure of HIV positive children in childcare settings, with specific reference to the Namibian context.